Adoption Application

(This application has issues with smartphones and some tablets, please use a computer for best results!)

In order to be considered for an adoption you MUST:==> Be 18 years of age and have a valid source of identification with current address. ==> Have the knowledge and consent of all adults living in your household to adopt the pet you are applying for. ==> Have your landlord's name, telephone number and proof of pet ownership approval from your landlord. ==> Be able to check your e-mail frequently if you supply us with an e-mail address so that we can maintain prompt communication with you. ==> NOT have any children within your household under the age of 10 if applying for a male Doberman, or under the age of 5 if applying for a female. ==> Be willing and able to visit Second Chance Dobes to meet with all the dogs in our program to find the best match for your family and situation. ==> You must be ready to bring your new family member home, we only process applications for homes ready to adopt. ==> Submit a required tax deductible, CASH OR MONEY ORDER donation of a minimum of $275 for adult dogs or $400 for dogs under a year old at the time of adoption to cover any vet and care costs accrued while your new pet was with Second Chance Dobes. PERSONAL CHECKS WILL NOT BE ACCEPTED! ==> Submit a non-refundable $10.00 (US) application processing fee. ==> Please be sure you are located within our adoption range prior to filling out this application (all of Michigan and limited areas of Canada, Illinois, Ohio, and Indiana)

Thank you so much for your interest in adopting a Dobe in need! If you have any questions regarding rescue and if it's the right choice for you and your family, please visit our message board by clicking here . Our wonderful staff members and adopters can help you decide if the choice is right for you.

Note: Enter only letters and numbers below, do not enter special characters such as &, *, #, ^ etc.

Sending Adoption Application

* Required fields

Your Name *

Spouses Name

Email Address *

Your Street Address *

City *

State *

Zip Code *

How long at current residence? *

Do you expect to move? (Yes/No - explanation) *

Phone Number *

Best time to call?

Are you at least 18 years old? *

YesNo

Do you have a valid drivers license? *

YesNo

Your Occupation *

How long at current job? *

Spouses Occupation

Spouses time at current job?

Dog interested in? *

Why are you interested in this dog?

List all pets owned as an adult *

List every pet you currently own or have owned as an adult. Please be specific with type/breed, name, age, was the pet altered (S/N), how long did you have pet, what happened to pet (be specific, ie. hit by car, still have, ect.)

Personal Reference #1 *

Personal Reference #1 Phone *

Personal Reference #2 *

Personal Reference #2 Phone *

Personal Reference #3 *

Personal Reference #3 Phone *

Veterinarian where your pet(s) records are *

Veterinarian Phone *

Have you contacted your vet to release your records to us? *

YesNo

Some vets require their clients to call and release their records to Second Chance Dobes before they will discuss them with us. Please do this PRIOR to submitting an application!

Should this dog be adopted by another family by the time your application has been completed, are you open to suggestions of another dog who may be a possible fit?

YesNo

How soon are you open to taking your new family member home? *

ImmediatelyWithin a monthWithin a few months

Are you interested in adopting a Senior Doberman?

YesNo

Why have you chosen to adopt a Doberman Pinscher? *

Please tell us about your experience with Dobermans *

Do you live in a: *

HouseApartmentCondoMobile Home

Is your residence: *

OwnedRentedLive with others

Landlord's Name

Landlord's Phone

Have you received permission from your Landlord or Condo Association to adopt a Doberman?

YesNo

Is the dog you would like to adopt intended to be a gift for someone? *

YesNo

Number of children in the house? *

Ages of children

Number of adults in the house? *

If there are adults in your household other than yourself, please tell us who they are, their relationship to you and how much contact and/or responsibility they will have with your new dog

Will children be visiting frequently? *

YesNo

Have you or anyone living with you ever been convicted of a crime? *

YesNo

If you answered yes to the above question, please explain the nature of the conviction

Have you applied for adoption at any other rescues/shelters? *

YesNo

Name(s) of any other rescue(s) you have applied with

Were you approved or denied a chance to adopt through the other rescue(s) Please explain

Have you ever given away, sold or surrendered a pet? *

YesNo

If you answered yes to the above question please explain

Which member(s) of the family will be responsible for caring for your new pet? *

How long have you been looking for a new pet? *

What type of heartworm preventative do you use (if any)? *

Do you believe in vaccinating your dog(s)? Please explain *

Height and type of fence, if applicable *

If you do not have a fence, how will you let the dog out safely to relieve itself?

How do you plan to exercise your new pet? *

Will your new dog ever be let off leash to run free? (Explain) *

Where will you keep your dog when left alone? *

Where will your dog sleep at night? *

Number of hours daily animal will be left alone? *

If approved for adoption, will your new pet primarily be kept indoors or outdoors? *

It may take your dog two weeks to adjust to its new home. What concerns do you have about this adjustment period? *

How do you plan to handle any seperation anxiety that may occur and/or destructive behavior should your new pet have these tendancies during the adjustment period? *

Do you plan on crating your dog? *

YesNo

What problems would cause you to return a dog? *

It is possible that your new pet may need work on potty training and/or obedience. Are you willing and able, both physically and financially, to help in training your new dog? *

YesNo

What form of discipline will you use on your dog? *

Are your current pets spayed and/or neutered? *

YesNo

If no, please explain

Do you breed animals? If so please explain *

Second Chance Dobes is located in Clinton, Michigan. Are you willing and able to make the trip to Second Chance Dobes for your adoption? *

YesNo

On rare occassions an adoption situation does not work out for an adopted dog and its family. You are obligated contractually to return the dog you adopt to SCD. Do you understand and agree to this policy? *

YesNo

Where did you hear about Second Chance Dobes? *

Any additional information you would like us to know about you and your family?